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General NPI Number Information
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NPI Number | 1902225600
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Entity Type | Individual
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Provider Name | CYNTHIA SULLIVAN ALLEN P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 3401 W END AVE SUITE 380
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City | NASHVILLE
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State | TN
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Zip | 37203-1042
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Country | US
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Telephone | 615-343-1554
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Fax | 615-936-6144
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Provider Business Mailing Address
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Address Line | 1125 GLEAVES GLEN DR
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City | MOUNT JULIET
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State | TN
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Zip | 37122-3443
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Country | US
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Telephone | 615-403-8568
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Fax | 615-936-6144
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0000005475
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License Number State | TN
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